Surgery for Ruptured Sinus of Valsalva Aneurysm into Right Ventricular Outflow Tract: Role of Intraoperative 2D and Real Time 3D Transesophageal Echocardiography
Article first published online: 12 AUG 2010
© 2010, Wiley Periodicals, Inc.
Volume 27, Issue 7, pages E65–E69, August 2010
How to Cite
Gadhinglajkar, S. and Sreedhar, R. (2010), Surgery for Ruptured Sinus of Valsalva Aneurysm into Right Ventricular Outflow Tract: Role of Intraoperative 2D and Real Time 3D Transesophageal Echocardiography. Echocardiography, 27: E65–E69. doi: 10.1111/j.1540-8175.2009.01147.x
- Issue published online: 12 AUG 2010
- Article first published online: 12 AUG 2010
Movie clip 1. Three parts of the movie loops are depicting color flow Doppler features of a SCVSD and a right RSOVA in midesophageal AV short-axis view, AV long-axis view and transgastric view of RVOT, respectively. A mild grade of aortic regurgitation (AR) and flow acceleration at the RVOT are seen in the second and third part of the movie clip, respectively. MPA = main pulmonary artery.
Movie clip 2. First part of the movie clip is representing RT-3D full volume rendered imaging obtained through virtual left atriotomy. A right SOVA is seen protruding adjacent to the aortic valve into the RVOT. The second part of the movie clip is obtained through a cross-sectional AV plane that is showing the SOVA (arrow) protruding into the RVOT.
Movie clip 3. Full-volume colored rendered images are seen in 3 parts of the movie clip. AV in cross-section and turbulent flow in OVA are seen in first part of the movie clip. Second part of the movie clip was obtained after virtual cropping through LVOT and aorta in longitudinal plane. Flow through the SCVSD is present in early part of systole, which is occluded by the SOVA in the remaining part of cardiac cycle. The SOVA has ruptured into the RVOT. The RVOT has been cropped in the third part of the movie clip. Flow is present across the SCVSD in the early part of systole.
Movie clip 4. Postoperative cross-sectional view of aortic valve is showing a central coaptation defect and Dacron patches in situ.
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Please note: Wiley Blackwell is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.